Provider Demographics
NPI:1689789992
Name:SAYED-ALI, ADHAM AHMAD (MD)
Entity Type:Individual
Prefix:DR
First Name:ADHAM
Middle Name:AHMAD
Last Name:SAYED-ALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14650 W WARREN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-1782
Mailing Address - Country:US
Mailing Address - Phone:313-581-0200
Mailing Address - Fax:313-582-3300
Practice Address - Street 1:14650 W WARREN AVE
Practice Address - Street 2:STE 150
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-1782
Practice Address - Country:US
Practice Address - Phone:313-581-1222
Practice Address - Fax:313-582-3300
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI44301069195207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine